CLINIC POLICIES AND PROCEDURES For Beginning Graduate Students

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<ul><li> Slide 1 </li> <li> CLINIC POLICIES AND PROCEDURES For Beginning Graduate Students </li> <li> Slide 2 </li> <li> CLINICAL SERVICES Complete diagnostic and therapeutic services are provided for children and adults with speech, hearing, and language problems. Complete diagnostic and therapeutic services are provided for children and adults with speech, hearing, and language problems. </li> <li> Slide 3 </li> <li> Hearing services include Hearing screenings Hearing screenings Hearing testing and counseling Hearing testing and counseling Hearing aid evaluation and counseling Hearing aid evaluation and counseling Hearing aid sales, orientation, and repair Hearing aid sales, orientation, and repair Speechreading and auditory training Speechreading and auditory training Speech and hearing conservation Speech and hearing conservation Individual and family counseling Individual and family counseling </li> <li> Slide 4 </li> <li> Speech-language services include Speech and language testing for Speech and language testing for Sound production problems Sound production problems Voice disorders Voice disorders Fluency disorders Fluency disorders Language delays and disorders Language delays and disorders Swallowing and other oro- pharyngeal disorders Swallowing and other oro- pharyngeal disorders Speech and language therapy Speech and language therapy </li> <li> Slide 5 </li> <li> Settings for our services ASU Communication Disorders Clinic ASU Communication Disorders Clinic Watauga Medical Center Watauga Medical Center Two Rivers School Two Rivers School Foothills Correctional Institute Foothills Correctional Institute </li> <li> Slide 6 </li> <li> Other settings we use Watauga County Schools Watauga County Schools Alexander County Schools Alexander County Schools Burke County Schools Burke County Schools Caldwell County Schools Caldwell County Schools North Carolina School for the Deaf North Carolina School for the Deaf </li> <li> Slide 7 </li> <li> Other settings we use Blue Ridge Speech Pathology children Blue Ridge Speech Pathology children Guardian Healthcare adults Guardian Healthcare adults J. Iverson Riddle Developmental Center adults J. Iverson Riddle Developmental Center adults Wilkes Senior Village geriatric Wilkes Senior Village geriatric Aegis geriatric adults Aegis geriatric adults </li> <li> Slide 8 </li> <li> HIPAA FEDERAL LAW </li> <li> Slide 9 </li> <li> ASHA Code of Ethics Individuals shall honor their responsibility to hold paramount the welfare of persons they serve professionally. Individuals shall honor their responsibility to hold paramount the welfare of persons they serve professionally. </li> <li> Slide 10 </li> <li> Individuals shall not reveal, without authorization, any professional or personal information about the person served professionally, unless required by law to do so, or unless doing so is necessary to protect the welfare of the person or of the community. </li> <li> Slide 11 </li> <li> The client charts are protected by: ASHA Code of Ethics ASHA Code of Ethics State Laws State Laws Federal Laws (HIPAA) Federal Laws (HIPAA) </li> <li> Slide 12 </li> <li> Client charts contain protected health information. Which is any health information that identifies a client. </li> <li> Slide 13 </li> <li> Each client in the Clinic has a chart. Student clinicians are responsible for helping to maintain these charts. </li> <li> Slide 14 </li> <li> Each chart is arranged in chronological order And all charts must contain specific information. </li> <li> Slide 15 </li> <li> Clear and Comprehensive Documentation is needed in each chart To justify need for treatment To justify need for treatment To document the effectiveness of treatment To document the effectiveness of treatment To have a legal record of events To have a legal record of events </li> <li> Slide 16 </li> <li> Client records are confidential. </li> <li> Slide 17 </li> <li> They are not to be divulged to anyone other than members of the Clinic staff involved with the case unless a signed written release is in the chart. </li> <li> Slide 18 </li> <li> Client records are not to be taken out of the Clinic areas. They must be protected at all times. </li> <li> Slide 19 </li> <li> Areas interpreted to be in the Clinic: Designated treatment rooms assigned to the clinic Designated treatment rooms assigned to the clinic Student Prep Room Student Prep Room Professional staff offices Professional staff offices Student Lounge Student Lounge </li> <li> Slide 20 </li> <li> A chart must never be left unattended. If a student must leave the clinic area, return the chart! </li> <li> Slide 21 </li> <li> Do not scratch out information if you make a mistake in the client record. Draw a single line through the error. Draw a single line through the error. Write Error. Write Error. Initial the mistake. Initial the mistake. </li> <li> Slide 22 </li> <li> The penalties for a breach of confidentiality are severe Student could receive a reprimand. Student could receive a reprimand. Student could receive a lower grade for class. Student could receive a lower grade for class. Student could be removed from the clinic setting totally (resulting in a failing grade). Student could be removed from the clinic setting totally (resulting in a failing grade). </li> <li> Slide 23 </li> <li> QUESTIONS? </li> <li> Slide 24 </li> <li> INFECTION CONTROL </li> <li> Slide 25 </li> <li> Outpatient and inpatient health care facilities provide a unique setting that is conducive to the transmission of infectious agents. </li> <li> Slide 26 </li> <li> What can be done to prevent the transfer of infectious pathogens in the health care workplace? Constant cleaning of equipment, furniture and common use items and surfaces Constant cleaning of equipment, furniture and common use items and surfaces Consistent use of barrier precautions and protective equipment Consistent use of barrier precautions and protective equipment Frequent handwashing Frequent handwashing </li> <li> Slide 27 </li> <li> What are Bloodborne pathogens? Pathogenic microorganisms Pathogenic microorganisms Present in human blood Present in human blood Can cause disease in humans Can cause disease in humans Include, but not limited to: Include, but not limited to: Hepatitis B (HBV) Hepatitis C (HCV) Human Immunodeficiency Virus (HIV) </li> <li> Slide 28 </li> <li> Universal precautions vs Standard precautions Universal precautions treating all patients the same, all blood and other potentially infectious material as if infectious. Universal precautions treating all patients the same, all blood and other potentially infectious material as if infectious. Standard precautions treating all body fluids as if infectious (ASUs recommended practice) Standard precautions treating all body fluids as if infectious (ASUs recommended practice) </li> <li> Slide 29 </li> <li> Bloodborne pathogen transmissions are Highly preventable through Highly preventable through Common sense Universal or standard precautions Not sharing personal items Barrier methods for sex Eliminating needle sharing </li> <li> Slide 30 </li> <li> Treat all human body fluids as potentially infectious </li> <li> Slide 31 </li> <li> Preventative measures </li> <li> Slide 32 </li> <li> Handwashing Most effective method to prevent transmission of illnesses Most effective method to prevent transmission of illnesses Wash hand thoroughly even if wearing gloves Wash hand thoroughly even if wearing gloves Pay special attention between fingers and around nails Pay special attention between fingers and around nails Wash for 30 seconds Wash for 30 seconds Let water run down toward finger tips Let water run down toward finger tips </li> <li> Slide 33 </li> <li> Handwashing Use paper towel to turn off water and open door Use paper towel to turn off water and open door Dont touch sides of sink Dont touch sides of sink If wearing re-usable gloves, wash and disinfect before removing from hands If wearing re-usable gloves, wash and disinfect before removing from hands If water not available, use waterless antiseptic hand cleaner, until you can wash If water not available, use waterless antiseptic hand cleaner, until you can wash </li> <li> Slide 34 </li> <li> General Principles It is prudent to minimize all occupational exposure to human body fluids. It is prudent to minimize all occupational exposure to human body fluids. Risk of exposure should never be underestimated. Risk of exposure should never be underestimated. Facilities should institute as many controls as possible to eliminate or to minimize exposure to bloodborne pathogens. Facilities should institute as many controls as possible to eliminate or to minimize exposure to bloodborne pathogens. </li> <li> Slide 35 </li> <li> Personal protective equipment (PPE) Must be provided to you at no cost, including training Must be provided to you at no cost, including training Impermeable gloves are used anytime you might contact body fluids, avoid vinyl gloves (allows tiny holes) Impermeable gloves are used anytime you might contact body fluids, avoid vinyl gloves (allows tiny holes) Goggles should be worn if in danger of splashing of body fluids or when mixing and using disinfectant solutions Goggles should be worn if in danger of splashing of body fluids or when mixing and using disinfectant solutions </li> <li> Slide 36 </li> <li> Gloves Latex Latex Nitrile Nitrile Chloroprene Chloroprene Avoid vinyl Avoid vinyl </li> <li> Slide 37 </li> <li> Other personal protection equipment includes Surgical masks Surgical masks Face splash shield/goggles/eye protection Face splash shield/goggles/eye protection Lab coat/gown Lab coat/gown Rubber or nitrile apron Rubber or nitrile apron Disposable booties or rubber boots Disposable booties or rubber boots </li> <li> Slide 38 </li> <li> Recognizing tasks that may be hazardous Oral-facial examinations Oral-facial examinations Changing diapers in the PLCC Changing diapers in the PLCC Cleaning mouthed toys Cleaning mouthed toys Use of Nasometer, Videostroboscopy, or Laryngograph Use of Nasometer, Videostroboscopy, or Laryngograph Handling hearing aids Handling hearing aids </li> <li> Slide 39 </li> <li> There is a written schedule for cleaning all equipment and working surfaces. </li> <li> Slide 40 </li> <li> If eyes, nose, or mouth are splashed Irrigate with large amounts of water for 15 minutes </li> <li> Slide 41 </li> <li> If an exposure occurs to the hands or skin Wash area for at least 30 seconds Wash area for at least 30 seconds Rinse with running water for at least 10 seconds Rinse with running water for at least 10 seconds </li> <li> Slide 42 </li> <li> QUESTIONS? </li> <li> Slide 43 </li> <li> PROFESSIONAL DRESS </li> <li> Slide 44 </li> <li> Students are expected to dress for a professional environment. Clothing should not be potentially embarrassing. Clothing should not be potentially embarrassing. Shoes or sandals must be worn. Shoes or sandals must be worn. Casual shorts, blue jeans, halter tops, and T-shirts are not permitted. Casual shorts, blue jeans, halter tops, and T-shirts are not permitted. Clinical educator has the final word concerning dress. Clinical educator has the final word concerning dress. </li> <li> Slide 45 </li> <li> All students must wear name tags. Including participant observers. </li> <li> Slide 46 </li> <li> Check with the clinical educator in charge of the case if you are not sure of the appropriate dress. </li> <li> Slide 47 </li> <li> EXPECTATIONS FOR PRACTICUM </li> <li> Slide 48 </li> <li> The first practicum experience should be a relatively easy one with ASU clinical personnel. </li> <li> Slide 49 </li> <li> You should complete: Speech and language therapy hours Speech and language therapy hours Some speech and language diagnostic hours Some speech and language diagnostic hours Aural rehab/hearing screening hours Aural rehab/hearing screening hours </li> <li> Slide 50 </li> <li> Subsequent semesters should progressively become more demanding And students should demonstrate more independence. </li> <li> Slide 51 </li> <li> BY the time you reach the third semester of clinic You should be responsible for establishing your own independence.. </li> <li> Slide 52 </li> <li> Inclement weather policy Check with your clinical educator at the beginning of the semester for the options that you should consider. </li> <li> Slide 53 </li> <li> Students are responsible for placing important information in their files. Files are located in the clinic Office. </li> <li> Slide 54 </li> <li> Student files (in the Clinic) should contain: Clock Hours Keep an Extra Copy! Clock Hours Keep an Extra Copy! TB Test within one year TB Test within one year Confirmation of HIPAA, infection control, &amp; CPR training Confirmation of HIPAA, infection control, &amp; CPR training Student evaluation (grade) information Student evaluation (grade) information Insurance confirmation Insurance confirmation </li> <li> Slide 55 </li> <li> Student files (in the Clinic) should contain: Confidentiality statement Confidentiality statement Criminal background check Criminal background check Speech prerequisite results (sign up today) Speech prerequisite results (sign up today) </li> <li> Slide 56 </li> <li> The Clinic Office also maintains contact information on every graduate student in the Communication Disorders Program. </li> <li> Slide 57 </li> <li> QUESTIONS? </li> <li> Slide 58 </li> <li> Purchases you need to make before the beginning of clinic Name badge Name badge Lanyard Lanyard CPR training CPR training Insurance Insurance Criminal background check Criminal background check $95.00 $95.00 </li> <li> Slide 59 </li> <li> For any questions concerning policies and procedures Check www.cdclinic.appstate.edu www.cdclinic.appstate.edu </li> </ul>